<#import "/common/function.ftl" as fn>
<@fn.header _title="核对家庭基本信息">
<script language="javascript" type="text/javascript" src="${base}/web/js/My97DatePicker/WdatePicker.js"></script>
<script language="javascript" type="text/javascript" src="${base}/web/js/JScript.js"></script>
</@fn.header>
<body>
<form action="" method="POST" id="">
    <div class="rightBk">
    	<@fn.position _value="街镇核实 &gt;&gt; 核对家庭基本信息" /> 
        <!-- 选项卡 -->
        <div style="margin:0px 0;height:30px">
        	<ul class="tab">
            	<li class="visited"><a href="#">核对家庭基本信息</a></li>
            	<li><a href="#">核对家庭成员基本信息</a></li>
            	<li><a href="#">家庭成员可支配收入</a></li>
           	 	<li><a href="#">家庭成员财产</a></li>
            	<li><a href="#">核实意见</a></li>
        	</ul>
        </div>
        <!-- title -->
        <div class="title">
            <div class="title-middle">
                <div class="title-left">
                </div>
                <div class="title-caption">
                    委托信息</div>
                <div class="title-right">
                </div>
            </div>
        </div>
        <!-- table -->
        <table class="table1">
            <colgroup>
                <col class="GridCaption" style="width:12%; background-color: #eef3f7;" />
                <col style="width: 250px;" />
                <col class="GridCaption" style="width:12%; background-color: #eef3f7;" />
                <col />
            </colgroup>
            <tr>
                <td>
                    委托人</td>
                <td>
                    <input name="txtFormTime" type="text" id="Text6" class="input4" value="邵梅芳" />
                </td>
                <td>
                    委托机构</td>
                <td>
                    <select name="ddlCertType0" id="Select2" class="select1">
                        <option selected="selected" value="01">民政局</option>
                        <option value="02">住房保障房屋管理局</option>
                    </select>
                </td>
            </tr>
            <tr>
                <td>
                    委托日期</td>
                <td>
                    <input name="txtReciveDate0" type="text" id="txtReciveDate0" class="input4" 
                        value="2011-04-01" onclick="WdatePicker()"/>
                </td>
                <td>
                    委托编号</td>
                <td>
                    <input name="txtCertCodeJSF" type="text" id="Text8" class="input4" 
                        value="DB000000001" />
                    <span class="star">*</span>
                </td>
            </tr>
            <tr>
                <td>
                    业务类型</td>
                <td>
                    <select name="ddlCertType1" id="Select3" class="select1">
                        <option selected="selected" value="01">低保核对</option>
                        <option value="02">经济适用住房</option>
                        <option value="03">廉租住房</option>
                    </select></td>
                <td>
                    联系电话</td>
                <td>
                    <input name="txtMobileJSF0" type="text" id="txtMobileJSF0" class="input4" maxlength="30"
                        value="13916484820" /></td>
            </tr>
            </table>
            <br />
        <!-- title -->
        <div class="title">
            <div class="title-middle">
                <div class="title-left">
                </div>
                <div class="title-caption">
                    申请人代表基本信息</div>
                <div class="title-right">
                </div>
            </div>
        </div>
        <!-- table -->
        <table class="table1">
            <colgroup>
                <col class="GridCaption" style="width:12%; background-color: #eef3f7;" />
                <col style="width: 250px;" />
                <col class="GridCaption" style="width:12%; background-color: #eef3f7;" />
                <col />
            </colgroup>
            <tr>
                <td>
                    填表日期
                </td>
                <td>
                    <input name="txtFormTime" type="text" id="txtFormTime" class="input4" value="2011-04-01" />
                </td>
                <td>
                    收件日期
                </td>
                <td>
                    <input name="txtReciveDate" type="text" id="txtReciveDate" class="input4" value="2011-04-01" />
                </td>
            </tr>
            <tr>
                <td>
                    证件类型
                </td>
                <td>
                    <select name="ddlCertType" id="ddlCertType" class="select1">
                        <option selected="selected" value="01">身份证</option>
                        <option value="02">护照</option>
                        <option value="03">居住证</option>
                        <option value="04">军官证</option>
                        <option value="05">出生证</option>
                        <option value="06">绿卡</option>
                        <option value="07">港澳通行证</option>
                        <option value="08">其他证件</option>
                    </select>
                </td>
                <td>
                    证件号码
                </td>
                <td>
                    <input name="txtCertCodeJSF" type="text" id="txtCertCodeJSF" class="input4" value="310108196008292826" />
                    <span class="star">*</span>
                </td>
            </tr>
            <tr>
                <td>
                    申请人代表姓名
                </td>
                <td>
                    <input name="txtPersonNameJSF" type="text" id="txtPersonNameJSF" class="input4" value="邵梅芳" /></td>
                <td>
                    &nbsp;邮政编码
                </td>
                <td>
                    <input name="txtZipCodeJSF" type="text" id="txtZipCodeJSF" class="input4" maxlength="6"
                        value="200071" /></td>
            </tr>
            <tr>
                <td>
                    固定电话
                </td>
                <td>
                    <input name="txtPhoneJSF" type="text" id="txtPhoneJSF" class="input4" maxlength="30"
                        value="56312594" /></td>
                <td>
                    移动电话</td>
                <td>
                    <input name="txtMobileJSF" type="text" id="txtMobileJSF" class="input4" maxlength="30"
                        value="13916484820" /></td>
            </tr>
            <tr>
                <td>
                    户籍所在地
                </td>
                <td colspan="3">
                    <input name="txtLuHk" type="text" id="txtLuHk" class="input9" value="通阁路205弄1号506室" />
                </td>
            </tr>
            <tr>
                <td>
                    现居住地址
                </td>
                <td colspan="3">
                    <input name="txtLuJuZhu" type="text" id="txtLuJuZhu" class="input9" value="通阁路205弄1号506室" />
                </td>
            </tr>
            <tr>
                <td>
                    通讯地址
                </td>
                <td colspan="3">
                    <input name="txtContactAddressJSF" type="text" id="txtContactAddressJSF" class="input9"
                        maxlength="100" value="通阁路205弄1号506室" />&nbsp;
                    <span style="color: Red; display: none;">格式有误</span>
                </td>
            </tr>
            </table>
            <br />
             <!-- title -->
        <div class="title marginTop15">
            <div class="title-middle">
                <div class="title-left">
                </div>
                <div class="title-caption">
                    核对家庭经济状况</div>
                <div class="title-right">
                </div>
            </div>
        </div>
         <!-- table -->
        <table class="tableCenter" style="text-align:left;vertical-align:middle;">
            <tr>
                <td>
                    截止<input id="Text1" type="text" value="2011-01-01" />家庭人均财产为<input id="Text2" 
                        type="text" value="5666.00" />元
                </td>
            </tr>
            <tr>
                <td>
                    <input id="Text3" type="text" value="2010-01-01" />至<input id="Text4" 
                        type="text" value="2010-21-31" />的家庭人均可支配收入为:<input id="Text5" 
                        type="text" value="5666.00" />元</td>
            </tr>
        </table>
        <!-- title -->
     
        <!-- button -->
        <div class="marginTop15 alignCenter">
            <img src="${base}/web/img/btnSave.gif" alt="" />
            <img src="${base}/web/img/btnNext.gif" alt="" />
        </div>
    </div>
</form>
</body>
</html>